Anna Charlotte Chupp
Individual provider Active NPI Counselor · Fort Valley, GA
NPI 1720715865 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1720715865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 410 E Church St
Fort Valley, GA 31030-3097 - Phone
- (229) 815-5454
- NPI assigned
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | GA | Yes |
Addresses
Primary practice location
410 E Church St
Fort Valley, GA 31030-3097
Mailing address
122 W Forsyth St
Americus, GA 31709-3561
Phone (229) 815-5454
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA | Other |
Other providers in Fort Valley, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.